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HomeMy WebLinkAbout0546 STRAWBERRY HILL ROAD - Health 546 STRAWBERRY HILL RD. CENTERVILLE A = 249 167 i 4 UPC,1 2534 • �ru+oo.cur +i __ r TOWN OF BARNSTABLE LOCATION j7"iG S7 X 4 &.2,6 f Z W SEWAGE #-2 0X VILLAGE C fh'Yeg V111-e ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. r/� MR C 0AIJ3ee SE)?TIC.TANK CAPACITY /O© /T LEACHING FACILITY: (type) Af'LOWCti',4,tf3efls (size) 515A0 NO.OF BEDROOMS BUILDER OR OWNER C°, ,u,kQ�. pc� PERMPTDATE: 3 -X2— COMPLIANCE DATE: - H Separarion-Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by C13 _ _ ohl Ag i. No. Fee Ly� / THE COMMONWEALTH OF MASSACHUSETTS Entered in co Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for ;Digpogar *pztem Construction Permit Application for a Permit to Construct( )Repair)(X )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 546 Strawberry Hit R Owner's Name,Address and Tel.No.5 0 8-7 71 -1 7 3 6 Centerville,Mass. 02632 Charles Perce Assessor's Map/Parcel ;; G / 7 Installer's Name,Address,and Tel.No.5 0 8-7 7/5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: DwellingXXX No.of Bedrooms_ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3/1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil. Loamy sand to medium fine sand_ Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers to the existincl tank K nit ChamhPrs will hp packed in 4 ' of 1l " stone with 3/8" on an- Date last inspected: 1- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo d f He lth. Signed Date 3/2 2/0 0 Application Approved by Date Application Disapproved for the ollowing reasons Permit No. "V Date Issued P A.� '~No. 1 0 Fee$ 50 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 0(pprication for Mtgo9ar &p5tem Coneuirction Permit Application for a Permit to Construct( )RepairNX )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5 4 6 Strawberry Hit R I Owner's Name,Address and Tel.No.5 0 8—7 71 —1 7 3 6 Centerville,Mass. 02632 Charles Perce Assessor's Map/Parcel t Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: DwellingKXX No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 355 gallons per day. Calculated daily flow 3/1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date ' Title Size of Septic Tank Type of:S.A.S. Description,of Soil Loamy sand to medium fine sand. _ l Nature of Repairs or Alterations(Answer when applicable)Adding two 500 gallon s -. leachin _.chambers to the exist nit.Chambers will hp �✓ r packed r AnW of 1 " stone with 3 8" stone- can. 10 - Date last inspected: Agreement:, The w(dersigned agrees to ensure the construction and maintenance of the afore described on-site sewage\di,�sal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Cm., � liance has been issued by this Bo. d •f.He lth. Signed Date 3/2 2/0 0 Application Approved by 1if s Date ApplicatiotyDisapproved for the ollowing reasons ,F fJJ m Permit No. [/ '� 4 Date Issued - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (tertificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired)(XX)Upgraded( ) Abandoned( )by J_P_Maenmhpr R. Rnn . Inn, at 5 4 6 S r A , has been constructed in accordance with the provisions of Title?•�' d e f r ova ter o ction Permit No dated ~ Installer J.P.Maw • hey'& Sori A T'nr. Designer J.P.Macomber & Son Inc, The issuance of 6s permit shall not be construed as a guarantee that the system will function as designed. Date ` .�.6dc5 Inspector No. — —�---------------------------Fee$ 50.00 -- -- -- --- _ On THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mig;pozaf 6potem Con0ruction Permit Permission is hereby granted to Construct( )RepairYX,�Upgrade( )Abandon( ) Systemlocatedat 546 Strawberry Hill Road Centerville,Mass. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction f5 t be Ompleted within three years of the date of e t Date: ApprovedY b % TOWN OF BARNSTABLE t LOCATION�S y sTiPA �Bn�P�P v r�i'ii/'.yr� SEWAGE #-2 D©o- VILLAGE i ASSESSOR'S MAP & LOT�Q• j(7 4' INSTALLER'S NAME&PHONE NO. -7/0 M A C O,611gelf ?06 so tl SEPTIC.TANK CAPACITY •D O Q �, LEACHING FACILITY: (type) CyA.r���,{��S j (size) NO.OF BEDROOMS IBUILDER OR OWNER PERIvIITDATE:_ 3 22_ COMPLIANCE DATE:_ - i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leac hing Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(Lf any wetlands exist Feet - within 300 feet of leaching facility) - Furnished by Feet is i j f \�� N4 LJ.1-.;1r 4� ty � \ i 1 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) L _Joseph P_Ma rnmhar Jr , hereby certify that the application for disposal works construction permit signed by me dated 3/2 2/0 0 concerning the property located at 546 Strawberry Hill Road Centervi 11 emeets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. /There are no wetlands within 100 feet of the proposed septic system v(—There are no private wells within 150 feet of the proposed septic system v There is no increase in flow and/or change in use proposed /There are no variances requested or needed. iJ The bottom of the proposed leaching facility will D.Qlbc located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor ethod when applicable) If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will M be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Stuface Elevation(usingGIS information 6�v ) B) G.W. Elevation /Z 0 +the MAX. High G.W. Adjtlstrrlent. DIFFERENCE BETWEEN A and B SIGNED DATE: 3/2 2/0 0 (S ch proposed plan of system on back). Q:health folder,cat Li b c r r C, oC 2-2 el c� �.a�►�' 0 F' s II ✓� Nc, rel i !� 13�zr ►3 Gf s v S�-I � St rc�a.,� � e �or`� �► �} �o�c� 8l 2et/o� F l oD Alp t� s Y '- ' QCLrl 3 � { too Ile i t �KG 1 et1' ------------- ------ 148" 97' 51" 36" 107" 67" 15" 30" 12" 24" 49" 18" 15" 30" W153 MWWOOD !W1232 OW302424 it 3D615 I ,1: 836R SL ------------------------------------ ------ --------- --- 0 W30 S36R The Home Depot did not 0) CR cl? measure or verify job site Customer takes 100% responsibility 0 0 -------------- 33REF-21) B21 R BC45L.­ W331524 5 ME 1231 tl�! OL J A 41 U. 33" 21 42" 7 43" 33" 36" - 36" 28" 59V 88 148" All dimensions-size designations given are This is an original design and must not be Designed: 7/29/2007 1! subject to verification on job site and released or copied unless applicable fee has Printed: 7/29/2007 adjustment to fit job conditions. been paid or job order placed. Design I Fi7L